Medications in the past two weeks

Question Title

How often during the past two weeks did you have difficulty remembering to take all of your medications?

Never / rarely

Once in a while

Sometimes

Usually

All the time

Question Title

How often during the past two weeks were you able to take all of your medications as prescribed or intended?

All of the time

A good bit of the time

Some of the time

A little of the time

None of the time

Question Title

Is there anything you’d like to say about your answers? Any clarifications or notes?

Question Title

Please type your date of birth
(MM/DD/YYYY) This will help us match your answers to your Navio profile.